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Evidence of quality of life improvements in patients with advanced-stage cancer has spurred a move towards early integration of palliative care into the outpatient setting. As discussed
herein, meaningful and sustained improvements in timely access to palliative care requires commitments to funding, encouraging integration and routinizing referral across care settings. More
palliative medicine training positions as well as broader education of clinicians and the public about the benefits of palliative care throughout the disease course are also needed. Access
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are calculated during checkout ADDITIONAL ACCESS OPTIONS: * Log in * Learn about institutional subscriptions * Read our FAQs * Contact customer support REFERENCES * Zimmermann, C. et al.
Early palliative care for patients with advanced cancer: a cluster-randomised controlled trial. _Lancet_ 383, 1721–1730 (2014). Article Google Scholar * Kaasa, S. et al. Integration of
oncology and palliative care: a Lancet Oncology Commission. _Lancet Oncol._ 19, e588–e653 (2018). Article Google Scholar * Ferrell, B. R., Temel, J. S., Temin, S. & Smith, T. J.
Integration of palliative care into standard oncology care: ASCO clinical practice guideline update summary. _J. Oncol. Pract._ 13, 119–121 (2017). Article Google Scholar * Hui, D. et al.
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cancer. _J. Clin. Oncol._ 37 (suppl. 15), 11604 (2019). Article Google Scholar * May, P. et al. Prospective cohort study of hospital palliative care teams for inpatients with advanced
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results: for-profit status, community engagement, and service. _JAMA Intern. Med._ 174, 500–506 (2014). Article Google Scholar Download references ACKNOWLEDGEMENTS The work of C.Z. is
supported by the Canadian Institutes for Health Research (grant number 152996) and by the Rose Chair in Palliative Medicine and Supportive Care, Department of Medicine, University of
Toronto. AUTHOR INFORMATION AUTHORS AND AFFILIATIONS * Department of Supportive Care, Princess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada Jean Mathews &
Camilla Zimmermann * Division of Palliative Medicine, Department of Medicine, University of Toronto, Toronto, Ontario, Canada Jean Mathews & Camilla Zimmermann * Division of Medical
Oncology, Department of Medicine, University of Toronto, Toronto, Ontario, Canada Camilla Zimmermann Authors * Jean Mathews View author publications You can also search for this author
inPubMed Google Scholar * Camilla Zimmermann View author publications You can also search for this author inPubMed Google Scholar CORRESPONDING AUTHOR Correspondence to Camilla Zimmermann.
ETHICS DECLARATIONS COMPETING INTERESTS The authors declare no competing interests. ADDITIONAL INFORMATION RELATED LINKS CANCER FACTS & FIGS. 2020:
https://www.cancer.org/research/cancer-facts-statistics/all-cancer-facts-figures/cancer-facts-figures-2020.html OPTIMAL RESOURCES FOR CANCER CARE — 2020 STANDARDS:
https://www.facs.org/-/media/files/quality-programs/cancer/coc/optimal_resources_for_cancer_care_2020_standards.ashx RIGHTS AND PERMISSIONS Reprints and permissions ABOUT THIS ARTICLE CITE
THIS ARTICLE Mathews, J., Zimmermann, C. Palliative care services at cancer centres — room for improvement. _Nat Rev Clin Oncol_ 17, 339–340 (2020). https://doi.org/10.1038/s41571-020-0374-2
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